MARINE PARK RADIOLOGY PC; NPI #1053362699

Contact Information

MARINE PARK RADIOLOGY PC

2270 KIMBALL STREET
STE 102
BROOKLYN, NY 11234

Phone: 718-253-6616
Fax: 718-253-7059
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology
Diagnostic Ultrasound	2085U0001X
Neuroradiology	2085N0700X

Indicates primary specialty

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NPI Profile & details for MARINE PARK RADIOLOGY PC

NPI # 1053362699

LBN Legal business name MARINE PARK RADIOLOGY PC

Authorized official HAROLD TANENBAUM - (MEDICAL DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/15/2006

Last updated 11/04/2024 - More than a year ago

Identifiers

Medicaid

02358643

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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MARINE PARK RADIOLOGY PC

Contact Information

Specialty

Diagnostic Radiology

Diagnostic Ultrasound

Neuroradiology

NPI Profile & details for MARINE PARK RADIOLOGY PC

Reviews for MARINE PARK RADIOLOGY PC